Senior Credentialing Specialist

Wollborg Michelson Recruiting; Alpharetta (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

Wollborg Michelson Recruiting seeks an experienced Senior Producer Contracting Specialist to support producer credentialing, recredentialing, contracting, and agreement administration. The role leads a team, provides guidance and training, and drives issue resolution, process improvement, and compliance with state and federal requirements.

The position involves researching complex inquiries, preparing reports, maintaining documentation, and assisting with audits.

Qualifications

• High school diploma or equivalent required.
• Minimum 3 years of relevant experience preferred in insurance or healthcare.
• Experience with producer credentialing, contracting, appointments, or regulatory processes preferred.
• Strong customer service, communication, and teamwork skills expected.
• Excellent attention to detail and data-entry accuracy.
• Strong analytical, problem-solving, and reasoning abilities.

Responsibilities

• Prepare and reconcile payment request approval forms and appointment invoices.
• Manage and resolve outstanding appointment and agent fee agreements.
• Research and resolve complex or sensitive producer appointment and contracting inquiries.
• Monitor departmental mailboxes and respond to or assign producer inquiries within established timeframes.
• Prepare reports related to appointments, agent fee agreements, and renewals.
• Maintain and update policies, procedures, appointment grids, fee charts, and supporting documentation.
• Provide guidance and training to producer credentialing specialists on appointments, agreements, invoices, and renewals.
• Support appointment and agent fee agreement teams during peak periods.
• Manage producer appointments and applications for business partners.
• Compile and validate information for regulatory and internal or external audits.
• Participate in system maintenance and upgrade testing.
• Complete special projects and other duties as assigned.

Skills

Customer service

Communication

Teamwork

Attention to detail

Data-entry accuracy

Analytical thinking

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Outlook

SharePoint

Teams

Job description

Senior Producer Contracting Specialist Job Summary

Supports producer credentialing, recredentialing, contracting, and agreement administration. Serves as a team lead by providing guidance, training, and leadership to producer credentialing specialists. Assists with research, issue resolution, process improvement, and compliance with state and federal requirements.

Responsibilities

• Prepare and reconcile payment request approval forms and appointment invoices.
• Manage and resolve outstanding appointment and agent fee agreements.
• Research and resolve complex or sensitive producer appointment and contracting inquiries.
• Monitor departmental mailboxes and respond to or assign producer inquiries within established timeframes.
• Prepare reports related to appointments, agent fee agreements, and renewals.
• Maintain and update policies, procedures, appointment grids, fee charts, and supporting documentation.
• Provide guidance and training to producer credentialing specialists on appointments, agreements, invoices, and renewals.
• Support appointment and agent fee agreement teams during peak periods.
• Manage producer appointments and applications for business partners.
• Compile and validate information for regulatory and internal or external audits.
• Participate in system maintenance and upgrade testing.
• Complete special projects and other duties as assigned.

Requirements

• High school diploma or equivalent.
• At least 3 years of relevant experience.
• Insurance or healthcare experience preferred.
• Experience with producer credentialing, contracting, appointments, or regulatory processes preferred.
• Skill Strong customer service, communication, and teamwork skills.
• Excellent attention to detail and data-entry accuracy.
• Strong analytical, problem-solving, and reasoning abilities.
• Proficiency with Microsoft Excel, Word, Outlook, SharePoint, and Teams.
• Ability to prioritize tasks, meet deadlines, follow up on commitments, and work effectively under pressure.
• Ability to work independently and maintain confidentiality.
• Knowledge of relevant policies, procedures, and regulatory guidelines.

Summary Qualification

Experienced administrative professional with expertise in producer credentialing and contracting support. Capable of leading, training, and supporting team members. Skilled in resolving complex inquiries and maintaining accurate documentation. Committed to compliance, accuracy, confidentiality, and high-quality service.

Equal Opportunity Employer

Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.